Rebecca Susan Biscoglia
Individual provider Active NPI Pediatrics Physician · Newberry, SC
NPI 1780829465 · NPPES record last updated May 15, 2015
Key facts
- NPI
- 1780829465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 34614 (SC)
- Practice address
- 2525 Kinard St
Newberry, SC 29108-2909 - Phone
- (803) 405-0220
- NPI assigned
- Dec 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160216001015 | SC | Practitioner - Pediatric Medicine | 5193020980 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34614 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eau Claire Cooperative Health Center ,Inc. | Current |
Accepting new patients | |
| Eau Claire Cooperative Health Center, Inc. | Pediatrics | Current |
Accepting new patients |
| Prisma Health-Midlands | Past | Accepting new patients |
Locations
4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001
2525 Kinard St
Newberry, SC 29108
Phone (803) 276-4860
Interoperability endpoints
- rebecca.biscoglia.1@10781.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34614 | SC | Yes |
Addresses
Primary practice location
2525 Kinard St
Newberry, SC 29108-2909
Mailing address
PO Box 3788
Columbia, SC 29230-3788
Phone (803) 733-5969
Other providers in Newberry, SC
- Bela Family Dentistry of Newberry
- Shannon Beckham Berley
- Michael Jerome Bernardo
- Katherine Bills
- Bio-Medical Applications of South Carolina, Inc.
- Jessica Carole Blake
- Jeffrey Bodenhamer
- Elizabeth Bozard
- Thomas F Bradberry
- Branch & Stafford Optometric Associates, PA
All providers in Newberry, SC · Pediatrics Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.